Collector: ___________________________________Date:___________________

School:____________________________________________ Grade Level:_______

Interviewee (include birth name):___________________________________________

___________________________________________________________________

Interviewee's Address: _________________________________________________

___________________________________________ Phone: (______)___________

Parish:________________________ Ethnic or Cultural Heritage:__________________

Circumstances of Interview:________________________________________________

____________________________________________________________________

Interviewee's Date and Place of Birth:________________________________________

Occupational Experience:_________________________________________________

Hobbies and Interests:___________________________________________________

Forms of Folklore Collected: _______________________________________________

______________________________________________________________________

How, when, and from whom did the interviewee learn these folklore forms?

_________________________________________________________________

How did you document your fieldwork? ___fieldnotes ___photographs ___audio recording

___video recording ___drawings or illustrations _____signed release form

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